MAC Jurisdiction 8 Implementation to Start

MAC Jurisdiction 8 Implementation to Start

CMS recently instructed WPS to begin the implementation of MAC Jurisdiction 8. For this contract, WPS will administer the Part A and Part B benefits for Indiana and Michigan. While specific timelines are not yet available, WPS is already working to ensure a smooth and seamless implementation.

As more information becomes available, we will use our website, eNews, and other distribution channels for updates. WPS looks forward to serving the Jurisdiction 8 beneficiaries and provider community.

 

eRx Payment Adjustment (1% Reduction)

eRx Payment Adjustment (1% Reduction)

On December 8, 2011, CMS published a Special Edition MLN Matters article, 2012 Electronic Prescribing (eRx) Payment Adjustment: Assessment and ApplicationAdobe Portable Document Format, which contains important information concerning the 1% payment reduction for eligible professionals who failed to meet the eRx reporting requirements in 2011. More information is available in the Learnresource article, REMINDER: 2012 Electronic Prescribing (eRx) Incentive Program Payment Adjustment Feedback Report Update, published by CMS on December 29, 2011.

 

EDI Ask-the-Contractor Teleconference (ACT) Reminder

EDI Ask-the-Contractor Teleconference (ACT) Reminder

WPS Medicare will be hosting an EDI ACT on February 9, 2012, at 1:00 pm CST. During the session, we will be presenting a power point "5010 Moving into Production." The presentation is available on the EDI website(external link). The call is an open forum and advance registration is not required. Please call (800) 305-2862, pass code 11132712.

 

Medicare Secondary Payer (MSP) Deductible

Medicare Secondary Payer (MSP) Deductible

On April 1, 2011, the Centers for Medicare & Medicaid Services implemented Change Request 7026. This instruction directed the Common Working File (CWF) to accept both Medicare Secondary Payer (MSP) and Non-MSP lines on the same claim or adjustment. WPS Medicare initiated mass adjustments on January 12, 2012, to correct these erroneous payments. Read the complete article.

 

Medicare Physician Fee Schedule Database

Medicare Physician Fee Schedule Database

WPS Medicare published the revised 2012 Fee Schedules on January 5, 2012. These files include the PAR and Non-PAR amounts as well as the limiting charge. If you are looking for information on status codes, relative value units, global surgery, physician supervision of diagnostic procedure, or other fee schedule indicators, please refer to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule (PFS) Relative Value Files(external link).

 

MAC J8 Implementation eRx Adjustment 5010 MSP Deductible MPFS Database

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